Medicare for Higher Income

2022 Medicare Costs + Coverage Updates

The Centers for Medicare & Medicaid Services (CMS) have released the Medicare costs and coverage information for 2022.

PART A - COSTS

PART A Premium

Most people don't pay a monthly premium for Part A. If you do buy Part A, you'll pay up to $499 each month if you paid medicare taxes for less than 30 quarters. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $274.

PART A Deductible + Coinsurance

  • $1,556 deductible for each benefit period
  • Days 1-60: $0 coinsurance for each benefit period
  • Days 61-90: $389 coinsurance per day for each benefit period
  • Days 91 and beyond: $778 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime)
  • Beyond lifetime reserve days: all costs

PART B - COSTS

PART B Premium

The standard Part B amount is $170.10 (or higher depending on your income).  

PART B Deductible + Coinsurance

  • $233 deductible per year
  • After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services, outpatient therapy, and durable medical equipment (DME)


Part B Income-Related Adjustments
File Individual Tax ReturnFile Joint Tax ReturnFile Married + Separate Tax ReturnWhat You Pay Each Month in 2022
$91,000 or less
$182,000 or less
$91,000 or less
$170.10
above $91,000 up to $114,000above $182,000 up to $228,000
Not applicable
$238.10

above $114,000 up to $142,000above $228,000 up to $284,000Not applicable
$340.20
above $142,000 up to $170,000above $284,000 up to $340,000Not applicable
$442.30
above $170,000 and less than $500,000above $340,000up to $750,000above $91,000 and less than $409,000$544.30
$500,000 and above$750,000 and above$409,000 and above$578.30



PART D - COSTS


Part D Income Related Adjustments
File Individual Tax ReturnFile Joint Tax ReturnFile Married + Separate Tax ReturnWhat You Pay Each Month in 2022
$91,000 or less$182,000 or less$91,000 or lessyour plan premium
above $91,000
up to $114,000
Above $182,000
up to $228,000
Not applicable$12.40 + your plan premium
Above $114,000
up to $142,000
Above $228,000
up to $284,000
Not applicable$32.10 + your plan premium
Above $142,000
up to $170,000
Above $284,000
up to $340,000
Not applicable$51.70 + your plan premium
Above $170,000 and
less than $500,000
Above $340,000
up to $750,000
above $91,000 and less than $409,000$71.30 + your plan premium
$500,000 and above$750,000 and above$409,000 and above$77.90 + your plan premium
Money Saving Tip:

Money Saving Tip:

If a retiree's current income is lower than the most-recent tax return, they may be eligible to appeal a Medicare premium surcharge — but only if the income drop is the due to specific life-changing events such as death of a spouse, divorce, marriage or retirement. If that is the case, clients should immediately respond to the premium surcharge notice, known as an income-related monthly adjustment amount (IRMAA) letter they receive in the fall, and follow the instructions on how to appeal the surcharge.